Kins connects with your insurance company in an automated way (or sometimes via phone). We use your DOB, member ID, name and insurance company to get your benefits which can include Copay, deductible, co-insurance, and more. From your benefits data we estimate your out of pocket amount and charge your credit card this amount for your appointment and we bill your insurance company the remainder.
The key point is that your out of pocket amount is an estimate, and that amount may change overtime. Therefore, we may issue a refund or a bill if we under or over estimated.
For example,
We may “overcharge” you because we were unaware of the August 10th medical bill. We will then issue a refund once our insurance company completes the transaction (can be up to 90 days later).
Since insurance companies are complex and may not provide us with the most-up-to-date data we may also undercharge you. If this were to happen we would issue a bill once your insurance completes the transaction.
Medicare only pays 80% of the cost of care, so many Medicare beneficiaries seek secondary insurances to pay the other 20%.
Medicare Part B patients without secondary insurance are responsible for a 20% coinsurance, which typically amounts to $25 per visit.
If you have original Medicare as your primary insurance, but you also have a secondary insurance, the secondary payer becomes responsible for the 20%. In some cases, the secondary insurance also charges a copay, coinsurance, or deductible. We recommend contacting your secondary insurance carrier to find out.
If you have not yet met your Medicare deductible, then you will pay per visit. We charge coinsurances as a dollar amount equal to the percentage. So, if you have a 20% coinsurance, you'll pay 20% of total cost, which may vary depending on services provided; if you have a 10% coinsurance, you'll pay 10% of total cost, depending on the services you receive.
Conversely, if we find that you have overpaid, we will refund you as soon as possible. As for copays-these amounts rarely vary, so if your copay for physical therapy visits is $25, you will owe $25 at each visit.
